Affordable Care Act – Wellness Programs Cynthia Boyle Lande BrownWinick 666 Grand Avenue, Suite 2000 Des Moines, IA 50309-2510 Telephone: 515-242-2476.

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Affordable Care Act – Wellness Programs Cynthia Boyle Lande BrownWinick 666 Grand Avenue, Suite 2000 Des Moines, IA Telephone: Facsimile:

Affordable Care Act Employers are prohibited from discriminating against health plan participants based on a health status factor when determining eligibility, benefits, or premiums. Exception: Wellness Programs

Benign Discrimination Exception A health plan may discriminate in favor of an individual based on a health status factor

Types of Wellness Programs Participatory Health-Contingent  Activity-Only  Outcome-Based

Participatory Wellness Programs The employer must make the wellness program available to all similarly situated individuals, regardless of health status

Health-Contingent Wellness Programs Opportunity to Qualify Annually Size of Reward  General Rule: 30% Cost of Coverage  Smoking Cessation Programs: 50% Cost of Coverage Reasonable Design

Health-Contingent Wellness Programs Uniform Availability and Reasonable Alternative Standards  Additional requirements for Outcome-Based Wellness Programs Notice of Availability of Reasonable Alternative Standards

Website: Toll Free Phone Number: OFFICE LOCATIONS: 666 Grand Avenue, Suite 2000 Des Moines, Iowa Telephone: (515) Facsimile: (515) Franklin Place Pella, Iowa Telephone: (641) Facsimile: (641) DISCLAIMER: No oral or written statement made by BrownWinick attorneys should be interpreted by the recipient as suggesting a need to obtain legal counsel from BrownWinick or any other firm, nor as suggesting a need to take legal action. Do not attempt to solve individual problems upon the basis of general information provided by any BrownWinick attorney, as slight changes in fact situations may cause a material change in legal result.